Laserfiche WebLink
Pn^~a~, ~o~~'' <br />ANNUAL FEE and REPORT REQUEST <br />PERMITTEE NAME: Bestwa Pavin C m an L~ <br />y g ~- p y <br />PERMIT NO.: M-1977-315 <br />OPERATION NAME: Pit No. 1 <br />ANNNERSARY DATE: Apri123, 2008 <br />ANNUAL FEE DiTE: $$791.00 (Due on or before your anniversary date) <br />COUNTY: Weld <br /> <br />MAY 1 2 ZOd8 '~ <br />Division a. ¢~eclamation~ <br />Mining and Safety <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an <br />- --- --operatar shall submit the- annual fee,--a report-and-map showing the exten~ of current disturbances to affected ~- - <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to <br />occur during the upcoming year, reclamation that will be performed during the coming year, the dates for the <br />beginning of active operations, and the date active operations ceased for the year, if any. <br />Please attach your revised written annual report and annual report map to this form. The Annual <br />Report & Fee requirement is not met until we have received the following components: fee, report, and <br />associated map If no new disturbances or reclamation have occurred durinE the previous year and no <br />new changes to the previous year's maq are necessary, then no new map is required, provided that the <br />Operator shall state this in the Annual Report. Please note that an adequately labeled map that clearly <br />delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Carl V. Hill <br />Permittee Name: Bestway Paving Company <br />Address: P.O. Box 336633 <br />Greeley, CO 80633 <br />Phone Number: (970) 381-5087 <br />Fax Number: (970) 353-5089 <br />f you have additional comments and/or information that should be provided to the Division, please provide it <br />bel~ow,'or attach it to th' form along with your written report and ap. Annual Report instructions are enclosed. <br />~t~U' ~~ ev C~G:~ ~~i~v-~i`c,~,c..~~ c~~ 1^,,r ~~~ a-~.aJ1'c~y-, !.~ ~;i.'~ r~'Cc'~..~r^~ <br />~ ~._ ~~~~ <br />Sign tore of orporate Officer or Owner <br />.. <br />Date <br />